HomeMy WebLinkAboutBLD11547 Final WoodStove - BLD Permit / Conditions - 10/22/1981 Kralicek, Art #11547
10/8/81
29-23-1, Tract 11, of South 1/2 of SE 1/4 of NE 1/4.
1/2 mile on right side of old Belfair Highway.
Wood Burning Stove Contractor:
Self
$-- Wood Stove Permit
83z�
r-
Shorelines:
Setback:
Special Conditions:
Footing:
Setback:
Foundation Walls :
Framing:
Fireplace:
Wood Stove:
Plumbing:
Mechanical:
Roof:
Exterior:
Interior:
F 1 n a ejQ > I
Stop Work:
Mobile Home
Remarks:
BUILDING PERMIT APPLICATION
f MASON COUNTY
P.O. Box 186 Shelton, Washington 98584
426-5593 /10 ? O.
DATE ISSUED , /Q1
d
PERMIT NO. li�417
OWNER NAME MAIL ADDRESS CITY 8 STATE ZIP PHONE
O Xo� S
DIRECTIONS
TO JOB SITE `
LEGAL (❑ SEE ATTAC SHEE L
DESCR. O� - J? ,QC IIdie 6-F S1�Y`r C Y
NAME MAIL ADDRESS CITY 8 STATE LICENSE NO. PHONE
CONTRACTOR
USE OF
r
BUILDING
Class of work: EW ❑ A DI ON ❑ ALTERATION ❑ REPAI ❑ MOVE ❑ REMOVE
Describe work:
Valuation of work: $ PLAN CHECK FEE PERM$FEF���
SPECIAL CONDITIONS: �`}}
BEDROOMS I DECKS _ CARPORT [! NOTICE
BATHROOMS TOTAL SQ. FT. GARAGE I J
ATTACHED [� SEPARATE PERMITS ARE REQUIRED FOR PLUMBING, HEATING, VENTILATING
NO. OF STORIES BASEMENT E OR AIR CONDITIONING.
TOTAL SQ. FT. FIREPLACE ❑ DETACHED f i
THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHOR-
CONTRACTOR AFFIDAVIT IZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS
SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER
1 certify that I am a currently registered contractor in WORK IS COMMENCEQ.
the State of Washington and t the
aware of the FOR OFFICE USE ONLY
ordinance requirements regulating the work for which
the permit is issued and all work done will be in
conformance therewith. PERMANENT SHORELINES I 1
SEASONAL G FLOODPLAIN L]
Firm E.D. NO. S.E.P.A. I J
By Special Approvals IN OUT YES APPROVED NO
Lic. No. Date ZONING
PLANNING DEPT.
OWNERS AFFIDAVIT HEALTH DEPT.
PUBLIC WORKS
I certify that I am exempt from the requirements of the FIRE MARSHAL
contract or registration law RCW 18.27, and am aware BUILDING DEPT.
of the Mason County ordinance requirements for
which this permit is issued and that all work done will ROAD ACCESS
be in conformance ther wit MOTOR VEHICLE PERMIT
L� AP LIGATION ACCEPTED BY PLANS CHECK BY APPROVED FOR ISSUANCE
Owner Date
/V(li
AN CHECK VALIDATION CK. M.O. CASH P RMIT VALIDATION CK� M.O. CASH